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  • ePoster presentation
  • Open Access

Improving dual protection among women infected with HIV

  • Beena Joshi1Email author,
  • Gajanan Velhal2,
  • Sanjay Chauhan1,
  • Ragini Kulkarni1,
  • Shahina Begum1,
  • YS Nandanwar3,
  • Michelle Fonseca3,
  • Sujata Baweja4,
  • Dilip Turbadkar4,
  • Anita Ramachandran4,
  • Asha Dalal5,
  • Jayanti Shastri6,
  • Sachee Agrawal6,
  • Manisha Panhale1,
  • Vasundhara More1,
  • Pravin Sanap1,
  • Renuka Panchal1 and
  • Suman Kanoujiya1
BMC Infectious Diseases201414(Suppl 3):E40

https://doi.org/10.1186/1471-2334-14-S3-E40

Published: 27 May 2014

Keywords

Family PlanningNevirapinePlanning CentreUnintended PregnancyUnwanted Pregnancy

Background

The PPTCT program in India focuses on prong 3 (Provision of Nevirapine to pregnant infected mothers) and reports quote that it reaches only 32% of pregnant mothers who need it. Preventing unintended pregnancies among HIV positive women (Prong 2) could help reduce the burden on Prong 3. To improve use of dual protection and prevent unintended pregnancies among women infected with HIV, an operational research study was implemented in two randomly selected tertiary hospitals in Mumbai (supported by ICMR).

Methods

The main intervention in this experimental control study was linking ICTC/PPTCT with family planning services by capacity building of providers (counseling and testing medical eligibility to use methods), provision of IEC material, referral slip, maintaining MIS and testing the acceptability of dual methods among 300 women infected with HIV attending ICTC/PPTCT.

Results

Sixty percent of the referred participants reached Family planning centres. Statistically significant improvement in knowledge about contraception and dual protection, three times increased acceptance of dual methods, significant increase in consistent use of condoms and lesser numbers of unwanted pregnancies and births were observed in the experimental than control group. The cumulative failure rate of contraception in the experimental group reduced resulting in preventing 12 women from risk of getting pregnant in first year of use compared to control.

Conclusion

The study demonstrated the feasibility to establish this linkage and improved dual method use among participants. The study recommends expanding the current mandate of PPTCT to focus on prong 2 and improve use of dual methods.

Authors’ Affiliations

(1)
Department of Operational Research, National Institute for Research in Reproductive Health, ICMR, Parel, Mumbai, India
(2)
Department of PSM, TN Medical College and BYL Nair Hospital, Mumbai, India
(3)
Department of OBGYN, LTM Medical College and Sion Hospital, Mumbai, India
(4)
Department of Microbiology, LTM Medical College and Sion Hospital, Mumbai, India
(5)
Department of OBGYN, TN Medical College and BYL Nair Hospital, Mumbai, India
(6)
Department of Microbiology, TN Medical College and BYL Nair Hospital, Mumbai, India

Copyright

© Joshi et al; licensee BioMed Central Ltd. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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